| NPI | 1649521899 |
|---|---|
| Doing Business As | EVERGREEN AUDIOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE GARNETT Owner 360-892-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |